Reeves County Hospital District
Organization Active NPI Family Medicine Physician · Pecos, TX
NPI 1447417209 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1447417209
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- REEVES COUNTY HOSPITAL DISTRICT
- Practice address
- 2349 Medical Drive
Pecos, TX 79772 - Phone
- (432) 447-0565
- Fax
- (432) 447-5053
- NPI assigned
- May 20, 2008
- Organization subpart
- No
Authorized official
- Name
- Brenda K McKinney
- Title
- Ceo
- Phone
- (432) 447-3551
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 6
Practitioners 33
-
Pete Castillo, PA-C
-
Orville D Cerna, M.D.
-
Keith Gist, CRNA
-
Murtuza Khan, DO
-
Daniel Quang Le, NP
-
Subhash K Nagalla, M.D.
-
James T Papesca, CRNA
-
Anand C Reddy, MD
-
Steven E Serrano, D.O.
-
Jonathan Wayne Burks, CRNA
-
Tamara Cameron, CRNA
-
Yvette M Riker, BSN, MS, CRNA
-
Crissy Mangum, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Reeves Regional Home Health & Hospice |
Home health agency | Operational/Managerial Control | Mar 16, 2017 |
| Reeves Regional Home Health & Hospice |
Hospice | Operational/Managerial Control | Mar 16, 2017 |
| Reeves Regional Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 17, 1995 Jan 17, 1995 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040503001121 | TX | Part B Supplier - Clinic/Group Practice | 2567353469 |
Receives reassigned benefits from 32 practitioners Practice locations: Pecos, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
2349 Medical Drive
Pecos, TX 79772
Mailing address
2349 Medical Drive
Pecos, TX 79772
Phone (432) 447-3551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082886501 | Medicaid | TX |
Other names
- Reeves Regional Physician Clinic
Other providers in Pecos, TX
- Reeves County Hospital District
- Reeves County Hospital District
- Reeves County Hospital District
- Reeves County Hospital District
- Reeves County Hospital District
- Reeves County Hospital District
- Reeves County Hospital District
- Reeves County Hospital District
- Reeves County Hospital District
- Reeves County Hospital District
All providers in Pecos, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.